FLUID AND ELECTROLYTES DIABETES
EXAM SCRIPT 2026 COMPREHENSIVE
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ The patient is admitted with fever and acute lower abdominal pain. He
has taken tylenol but says he still feels feverish. Before taking the
patient's temperature, the nurse may:
A: touch the patients skin with the dorsal of her hand
B: touch the patients skin with the pads of her finger
C: palpate the skin using the bimanual method
D: touch the patients skin with the palmar side of her hand. Answer: A:
touch the patients skin with the dorsal of her hand
⩥ What should the nurse do when preparing to complete an assessment
for a 16 year old patient?
A: focus on the illness behaviors
B: plan for a diminished energy level
C: treat the patient as an individual
D: have the parents present throughout. Answer: C: treat the patient as
an individual
,⩥ The general survey begins with a review of the patient's primary
health problems and an evaluation of the patient's vital signs, height and
weight, general behavior, and appearance. It also provides information
about the patient's illness, hygiene, skin condition, body image, and
emotional state. Which of the following cannot be delegated to nursing
assistive personnel?
A: reporting subjectives signs and symptoms
B: measuring the patients height and weight
C: monitoring I&O
D: obtaining initial vital signs. Answer: D: obtaining initial vital signs
⩥ The nurse is preparing to examine a patient who has chronic lung
disease. She realizes that the patient most likely will need to be in which
position for the examination?
A: high fowlers
B: supine
C: side-lying
D: prone. Answer: A: High fowlers
⩥ Nursing diagnoses meet specific criteria so they accurately reflect
both the celints problem and the possible etiology involved. Of the
following statements, which one is an example of an appropriately
written nursing diagnosis?
A: cardiac output decreased related to motor vehicle accidents
B: potential for injury related to improper teaching in the use of crutches
,C: ineffective airway clearance related to increased secretions
D: risk for change in body image related to cancer. Answer: C:
ineffective airway clearance related to increased secretions
⩥ Where is the pulmonic area for auscultation found?
A: second intercostal space on the right side
B: second intercostal space on the left side
C: third intercostal space
D: fourth intercostal space along the sternum. Answer: B: second
intercostal space on the left side
⩥ While performing a cardiovascular assessment on a patient with
suspected left-sided congestive heart failure, the nurse is unable to
palpate the PMI with the patient lying supine. What might her next step
be?
A: have the patient turn onto his left side
B: have the patient lean forward
C: have the patient move to a sitting position
D: palpate the PMI to the right of the midclavicular line. Answer: A:
have the patient turn onto his left side
⩥ Which of the following should the nurse implement for assessment of
the carotid artery?
A: massaging the arteries briskly
, B: using the diaphragm of the stethoscope
C: palpating each carotid artery separately
D: placing the patient in a supine position. Answer: C: Palpating each
carotid artery separately
⩥ Which of the following is an unexpected finding after a cardiac
assessment?
A: a pulse rate of 72 beats per minute.
B: jugular vein pulsation with the patient supine.
C: PMI found at the midclavicular line.
D: a sustained swishing sound during systole or diastole.. Answer: D: a
sustained swishing sound during systole or diastole
⩥ How should the nurse document an exaggeration of the posterior
curvature of the thoracic spine found during the assessment of a 90 year
old patient?
A: lordosis.
B: osteoporosis.
C: scoliosis.
D: kyphosis.. Answer: D: kyphosis
⩥ A nurse is documenting a patient's breath sounds. Crackles are heard
as:
A: loud, low-pitched, coarse sounds.